HR Director Jobs in North Carolina
HR Director jobs in North Carolina are consistently in demand, with openings concentrated in healthcare systems, financial services, technology, and manufacturing across a range from newly promoted HR managers stepping into their first director seat to seasoned executives overseeing enterprise-wide people strategy. Charlotte, Raleigh, and the Research Triangle are the most active hiring metros, where employers like Bank of America, Duke Health, and Fidelity Investments maintain large HR functions. Talent management, DEI program leadership, and HRIS implementation are among the most sought-after specialties in current North Carolina listings. Find a role that fits below and apply directly.
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Carolina Neurosurgery & Spine Associates (CNSA) is seeking a dynamic and strategic Director of Human Resources to lead our HR department through an exciting period of growth, integration, and change. This individual will play a key leadership role in advancing CNSA’s people strategy, fostering a culture of engagement, and aligning HR operations with the organization’s continued clinical and operational excellence.
About the Role
The HR Director will oversee all aspects of Human Resources — including employee relations, talent acquisition, physician recruitment and onboarding, benefits administration, compliance, and organizational development — while helping guide the practice through ongoing integration into a managed services organization (MSO) model. This is an opportunity for a vibrant, hands-on leader who thrives in a fast-paced healthcare environment and can balance strategic vision with operational execution.
Key Responsibilities
- Lead HR strategy and daily operations across all CNSA clinic locations.
- Partner with the executive team to align people initiatives with practice and MSO goals.
- Drive recruitment and onboarding processes for both staff and physicians, ensuring a seamless and professional candidate experience.
- Champion organizational change management initiatives and foster a positive, adaptive culture through growth and integration.
- Strengthen leadership development, employee engagement, and retention strategies.
- Oversee benefits administration, compliance, and HR policies across multi-state operations.
- Collaborate with PracticeCore and external partners to streamline HR functions within the MSO model.
- Provide guidance to department leaders on employee relations, workforce planning, and performance management.
Qualifications
- Bachelor’s degree in Human Resources, Business Administration, or related field (Master’s preferred).
- 7+ years of progressive HR leadership experience, preferably within healthcare or multi-site practices.
- Strong background in change management, employee relations, and organizational development.
- Proven experience in physician recruitment and onboarding.
- Familiarity with Managed Services Organizations (MSOs) or similar integrated healthcare structures.
- Excellent interpersonal, communication, and leadership skills with a “people-first” mindset.
- PHR/SPHR or SHRM-CP/SHRM-SCP certification preferred.
This posting is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities of this position.?CNSA retains the discretion to add to or change the job responsibilities of any position at any time with or without notice.
Full Time
Why Join CNSA CNSA is one of the nation’s premier neurosurgery and spine practices, known for clinical innovation and patient-centered excellence. As we continue to modernize and expand through our partnership with PracticeCore, the HR Director will have a unique opportunity to shape the future of our people operations — building a foundation for engagement, growth, and performance. Company Culture Expectations:
-
Reflects CNSA Core Values in all job responsibilities and interactions
- Compassion: Treats others with compassion and empathy
- Teamwork: Collaborates with all team members
- Communication: Communicates effectively and with positivity
- Integrity: Acts with integrity and accountability
- Innovation: Remains open-minded to new ideas and continual improvement
- Community: Treats every patient and team member as a part of the CNSA community
- Participates in department or system wide improvement plans
- Performs high quality work that is neat, accurate, complete, and on time
- Offers assistance to all patients by promptly responding to requests and needs
- Asks questions to gain full understanding of assignments
- Adapts to changing assignments and responsibilities
Apply Today!
Requirements:Bachelor's Degree
Carolina Neurosurgery & Spine Associates (CNSA) is seeking a dynamic and strategic Director of Human Resources to lead our HR department through an exciting period of growth, integration, and change. This individual will play a key leadership role in advancing CNSA’s people strategy, fostering a culture of engagement, and aligning HR operations with the organization’s continued clinical and operational excellence.
About the Role
The HR Director will oversee all aspects of Human Resources — including employee relations, talent acquisition, physician recruitment and onboarding, benefits administration, compliance, and organizational development — while helping guide the practice through ongoing integration into a managed services organization (MSO) model. This is an opportunity for a vibrant, hands-on leader who thrives in a fast-paced healthcare environment and can balance strategic vision with operational execution.
Key Responsibilities
- Lead HR strategy and daily operations across all CNSA clinic locations.
- Partner with the executive team to align people initiatives with practice and MSO goals.
- Drive recruitment and onboarding processes for both staff and physicians, ensuring a seamless and professional candidate experience.
- Champion organizational change management initiatives and foster a positive, adaptive culture through growth and integration.
- Strengthen leadership development, employee engagement, and retention strategies.
- Oversee benefits administration, compliance, and HR policies across multi-state operations.
- Collaborate with PracticeCore and external partners to streamline HR functions within the MSO model.
- Provide guidance to department leaders on employee relations, workforce planning, and performance management.
Qualifications
- Bachelor’s degree in Human Resources, Business Administration, or related field (Master’s preferred).
- 7+ years of progressive HR leadership experience, preferably within healthcare or multi-site practices.
- Strong background in change management, employee relations, and organizational development.
- Proven experience in physician recruitment and onboarding.
- Familiarity with Managed Services Organizations (MSOs) or similar integrated healthcare structures.
- Excellent interpersonal, communication, and leadership skills with a “people-first” mindset.
- PHR/SPHR or SHRM-CP/SHRM-SCP certification preferred.
This posting is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities of this position.?CNSA retains the discretion to add to or change the job responsibilities of any position at any time with or without notice.
Full Time
Why Join CNSA CNSA is one of the nation’s premier neurosurgery and spine practices, known for clinical innovation and patient-centered excellence. As we continue to modernize and expand through our partnership with PracticeCore, the HR Director will have a unique opportunity to shape the future of our people operations — building a foundation for engagement, growth, and performance. Company Culture Expectations:
-
Reflects CNSA Core Values in all job responsibilities and interactions
- Compassion: Treats others with compassion and empathy
- Teamwork: Collaborates with all team members
- Communication: Communicates effectively and with positivity
- Integrity: Acts with integrity and accountability
- Innovation: Remains open-minded to new ideas and continual improvement
- Community: Treats every patient and team member as a part of the CNSA community
- Participates in department or system wide improvement plans
- Performs high quality work that is neat, accurate, complete, and on time
- Offers assistance to all patients by promptly responding to requests and needs
- Asks questions to gain full understanding of assignments
- Adapts to changing assignments and responsibilities
Apply Today!
Requirements:Bachelor's Degree
See All 24 HR Director Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find HR Director JobsHR Director Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
HR Director Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Staffing & Recruiting
- Construction & Real Estate
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in HR director jobs across North Carolina.
- Bachelor's degree in human resources, business administration, or a related field required
- PHR, SPHR, SHRM-CP, or SHRM-SCP certification strongly preferred by North Carolina employers
- Seven or more years of progressive HR experience with at least three in a leadership role
- Demonstrated experience managing full-cycle HR functions including compliance and employee relations
- Proficiency with HRIS platforms such as Workday, ADP, or SAP SuccessFactors
- Working knowledge of North Carolina employment law and federal regulatory requirements
HR Director Jobs in North Carolina: Frequently Asked Questions
How do you become a hr director in North Carolina?
Most hr directors in North Carolina enter the role after earning a bachelor's degree in human resources or business and building progressively senior HR experience, often starting as an HR generalist or HR manager. North Carolina does not require a state-issued license to work as an hr director, but professional certification through HRCI (PHR or SPHR) or SHRM (SHRM-CP or SHRM-SCP) is a practical requirement at most larger employers across the state.
How much do HR directors make in North Carolina?
HR directors in North Carolina earn a median of about $142,990 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $90,390 for the lowest 10% to over $260,610 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire hr directors in North Carolina?
Employers hiring hr directors in North Carolina right now include Thermo Fisher Scientific, IQVIA, and Jobot, based on current listings on Migrate Mate as of August 2026. North Carolina's concentration of large healthcare networks, financial services firms, and corporate headquarters in Charlotte and the Research Triangle means demand for hr directors is spread across multiple high-volume sectors.
Which North Carolina cities have the most hr director jobs?
Charlotte, Durham, and Lenoir account for the greatest concentration of hr director openings in North Carolina. Charlotte drives demand through its financial services and corporate headquarters base, Raleigh and Durham attract openings through healthcare systems and technology companies anchored in the Research Triangle, and Greensboro and Winston-Salem contribute steady volume from manufacturing, logistics, and regional healthcare employers.
Are there remote hr director jobs in North Carolina?
Yes, and more than most fields. About 50% of hr director openings tied to North Carolina are remote or hybrid as of August 2026, reflecting how much of the role centers on strategic planning, policy development, and digital HRIS work. The parts of the role most likely to stay on-site are employee relations investigations and new-hire onboarding, while executive-level strategy and compliance oversight are the functions most commonly offered remotely.
How can I get hired as a hr director in North Carolina with little or no experience?
The most realistic path into an hr director role without direct leadership experience is building depth as an HR generalist or HR business partner at a large North Carolina employer, then transitioning into a manager role before moving up. Healthcare systems like Atrium Health and Duke Health run structured HR development programs, and earning a SHRM-CP credential while working in a generalist capacity signals readiness for leadership to North Carolina hiring managers. Adjacent roles in talent acquisition, compensation analysis, or HR operations give candidates the functional credibility to make the move.
Where can I find and apply to hr director jobs in North Carolina?
You can find and apply to hr director jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring across the state right now. Find roles that fit your experience and apply directly without creating a profile or signing up.
See All 24 HR Director Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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